Spectrum: Local Antimicrobial Stewardship, for Billings Clinic

Health Care-Associated Biliary Infection

Initial Empiric Treatment - Single Agent

Piperacillin-Tazobactam

Initial Empiric Treatment - Combination

Cefepime

PLUS

Metronidazole

OR

Ciprofloxacin (not first line, AMS goal reduce quinolone use)

PLUS

Metronidazole

Note

Therapy should be adjusted in accordance with culture and sensitivity results when/if they are available